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الاسم: ____________________ التاريخ: ____________
1.سهلة
Drugs whose names end in "-pril", such as lisinopril, belong to which class?
ACalcium channel blockers
BBeta blockers
CACE inhibitors
DAngiotensin II receptor blockers
2.سهلة
ما التفاعل الدوائي الضار؟
Aتفاعل لا يحدث إلا بعد جرعة زائدة
Bاستجابة ضارة غير مقصودة لدواء بالجرعات المعتادة
Cالتأثير العلاجي المقصود للدواء
Dأي تأثير للدواء يلاحظه المريض
3.سهلة
جرعة الباراسيتامول الزائدة تضر أساسًا أي عضو؟
Aبطانة المعدة
Bالكليتين أولًا ثم القلب
Cالرئتين
Dالكبد
4.متوسطة
An adult patient is due to receive digoxin. The apical pulse, counted for a full minute, is 52 beats per minute. What should the nurse do?
AGive half the dose and document the pulse
BGive the dose with food to slow absorption
CGive the dose and recheck the pulse in one hour
DWithhold the dose and notify the prescriber
5.متوسطة
A patient takes theophylline for COPD. Which advice is most important?
ADrink plenty of grapefruit juice each morning to improve absorption
BAvoid potassium-rich foods such as bananas
CTake extra doses when short of breath
DLimit coffee, tea and cola, because caffeine adds to the side effects
6.متوسطة
A patient with a fentanyl patch is given home-care advice. Which instruction is correct?
AAvoid heating pads, hot baths and saunas over or near the patch
BCut the patch in half if the pain is mild
CThrow used patches loose into the household bin with the packaging
DApply each new patch over the same skin area
7.صعبة
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
AA stroke unrelated to the medication
BMyasthenic crisis from too little anticholinesterase drug
CCholinergic crisis from too much anticholinesterase drug
DAn allergic reaction to pyridostigmine
8.صعبة
A patient is switched from oral to intravenous morphine. Why is the IV dose lower than the oral dose?
AThe oral route causes tolerance faster than the IV route
BIV morphine is excreted much more slowly by the kidney than oral morphine
CIV morphine is a stronger chemical form of the drug
DOral morphine has a large first-pass effect, so less reaches the blood
مفتاح الإجابات
1. C · ACE inhibitors
2. B · استجابة ضارة غير مقصودة لدواء بالجرعات المعتادة
3. D · الكبد
4. D · Withhold the dose and notify the prescriber
5. D · Limit coffee, tea and cola, because caffeine adds to the side effects
6. A · Avoid heating pads, hot baths and saunas over or near the patch
7. C · Cholinergic crisis from too much anticholinesterase drug
8. D · Oral morphine has a large first-pass effect, so less reaches the blood
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